| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $794.51 | $794.51 | $794.51 | |
Cigna
| Facility | $1,072.41 | $1,072.41 | $1,072.41 | |
Cigna
| Professional | $668.63 | $668.63 | $835.78 | |
MVP Health Care
| Facility | $1,072.41 | $1,072.41 | $1,072.41 | |
MVP Health Care
| Professional | $416.47 | $668.63 | $835.78 | |
United
| Professional | $279.87 | $384.44 | $897.02 |